HomeMy WebLinkAbout1965-11-15 Permit, Water Supply System #971Village Permit N2 971
Contractor /;,d — 'r�1 /& Addresser /-� L' no,
Owner Irlagam.,.4 _ Address
State License No Village License No.
oc /{ GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel Nol: 7D �Q
Section No t 0 Plat No Lot-- — Bloc . Subdivision �. �,r�.. y.�.�+ ! -
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems
Install
sewage disposal systems
Repair
Repair supply systems:
Fee $
Fee $
Fee $-
Fee $_
Total amount paid to Village....... $� "'�
Signature of applicant
Signature of Village Official